Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shanceline Esom Tebo

Individual provider Pharmacist · NPI 1962259218

Shanceline Esom Tebo is a Pharmacist in Travis AFB, California. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024

Practice location Address checks out

60 Mdg/mdts 101 Bodin Cir
Travis AFB, CA 94535-1809
Phone: (707) 423-7657
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 10860415-1701 (UT)

Record details

NPI number1962259218
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 3, 2024
Last updated in NPPESJuly 16, 2024
Certification dateJuly 9, 2024
Mailing address60 Mdg/Mdts, 101 Bodin Circle, Travis Afb, CA 94535-1809

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